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From the safety inside vehicles, Knowsley Safari offers visitors a close-up encounter with captive olive baboons. As exiting vehicles may be contaminated with baboon stool, a comprehensive coprological inspection was conducted to address public health concerns. Baboon stools were obtained from vehicles, and sleeping areas, inclusive of video analysis of baboon–vehicle interactions. A purposely selected 4-day sampling period enabled comparative inspections of 2662 vehicles, with a total of 669 baboon stools examined (371 from vehicles and 298 from sleeping areas). As informed by our pilot study, front-line diagnostic methods were: QUIK-CHEK rapid diagnostic test (RDT) (Giardia and Cryptosporidium), Kato–Katz coproscopy (Trichuris) and charcoal culture (Strongyloides). Some 13.9% of vehicles were contaminated with baboon stool. Prevalence of giardiasis was 37.4% while cryptosporidiosis was <0.01%, however, an absence of faecal cysts by quality control coproscopy, alongside lower than the expected levels of Giardia-specific DNA, judged RDT results as misleading, grossly overestimating prevalence. Prevalence of trichuriasis was 48.0% and strongyloidiasis was 13.7%, a first report of Strongyloides fuelleborni in UK. We advise regular blanket administration(s) of anthelminthics to the colony, exploring pour-on formulations, thereafter, smaller-scale indicator surveys would be adequate.
Education of paediatric advanced practice providers takes a generalist approach which lacks in-depth exposure to subspecialties like paediatric cardiac intensive care. This translates into a knowledge gap related to congenital cardiac physiology and management for APPs transitioning to the paediatric cardiac ICU.
Methods:
A specialised interprofessional peer-reviewed curriculum was created and distributed through the Pediatric Cardiac Intensive Care Society. This curriculum includes a textbook which is complemented by a didactic and simulation review course. Course evaluations were collected following each course, and feedback from participants was incorporated into subsequent courses. Pediatric Cardiac Intensive Care Society partnered with the Pediatric Nursing Certification Board to develop a 200-question post-assessment (exam) bank.
Results:
From December 2017 to January 2022, 12 review courses were taught at various host sites (n = 314 participants). Feedback revealed that courses improved preparedness for practice, contributed to advanced practice provider empowerment, and emphasised the importance of professional networking. 97% of attendees agreed/strongly agreed that the course improved clinical knowledge, 97% agreed/strongly agreed that the course improved ability to care for patients, and 88% agreed/strongly agreed that the course improved confidence to practice. 49% of participants rated the course as extremely effective, 42% very effective, 6% moderately effective, and 3% as only slightly effective.
Conclusions:
A standardised subspecialty curriculum dedicated to advanced practice provider practice in cardiac intensive care was needed to improve knowledge, advance practice, and empower APPs managing critically ill patients in the cardiac ICU. The developed curriculum provides standardised learning, increasing advanced practice provider knowledge acquisition, and confidence to practice.
Patients with mental health disorders are known to have worse physical health outcomes. ‘Consultant Connect’ (CC) is an app-based communication platform which aims to improve patient outcomes and experience, by offering clinicians direct access to consultants working in a partnership acute Trust, so they can seek advice and guidance for their patients’ physical health problems. This creates whole system efficiencies by avoiding unnecessary referrals to an Emergency Department or outpatient clinics. This poster describes the implementation of CC in a large UK Mental Health Trust. Initially designed for GPs, this is the first time a UK Mental Health Trust has used CC.
Methods
Consultant Connect was launched in the Mental Health Trust's inpatient services in June 2020 as part of a Trust-wide programme of work aiming to improve the physical healthcare of mental health patients. In July 2021 it was rolled out across all services, including all community services. All platform activity was monitored and the implementation team collected data to determine: a) origin of call, b) which specialty was required, c) numbers of calls successfully connected, and in a subset of calls d) outcome of call. In addition, 183 call recordings were analysed, to identify clinical training needs and inform further development of the platform.
Results
In the period June 2020 – December 2021, there were 1422 use episodes of the CC platform by Mental Health Trust clinicians. There were 401 Trust registered downloads of the CC App by the Trust clinicians. 53 different clinical specialties were contacted, with cardiology (414 calls), diabetes and endocrinology (243 calls), and haematology (124 calls) the most frequently called. 68% of queries received a response. 48% of calls had an outcome recorded, with 70% of these resulting in the physical healthcare being delivered by the mental health team, following the advice received (i.e. referral or admission avoided, or the patient treated out of hospital).
Conclusion
CC is being progressively embedded into clinical practice and has become a well-used pathway for mental health clinicians seeking immediate clinical advice from acute hospital Consultant colleagues. Further qualitative and quantitative work is planned with mental health clinicians, patients and carers to better understand their experience and determine if it improves care from both the clinicians’ and patients’ perspective.
Increased computing capacity and the spread of computational knowledge has generated the expectation that organizations and municipalities use large quantities of data to drive decision making. However, municipalities may lack the resources to meaningfully use their data for decision making. Relatedly, political science and public administration programs face the challenge of training students for success in this environment. We believe one remedy is the adoption of coproduction as a pedagogical strategy. This article presents a case study of a partnership between a university research team and a municipal emergency communications center as a demonstration of how coproduction can be harnessed as a teaching tool. Findings from this project were presented at the Southern Political Science Association Annual Meeting, January 8–11, 2020, in San Juan, Puerto Rico.
We provide the first examination of hedge fund boards and their directors. The majority of directorships are held by extremely busy independent directors. These directors are sought by funds because they have more reputational capital at stake, making them independent and credible monitors whose presence can certify fund quality to investors. Busy independent directors are more likely to be hired by high-quality funds, and their departure from the board is associated with investor withdrawals. Moreover, funds with busy independent directors are less likely to commit fraud, abuse discretionary liquidity restrictions, or engage in performance-based risk shifting.
Incorporating consumer perspectives into mental health services design is important in working to deliver recovery-oriented care. One of the challenges faced in mental health rehabilitation services is limited consumer engagement with the available support. Listening to consumers’ expectations of mental health services, and what they hope to achieve, provides an opportunity to examine the alignment between existing services and the priorities and preferences of the people who use them. We explored consumer understandings and expectations of three recovery-oriented community-based residential mental-health rehabilitation units using semi-structured interviews; two of these units were trialling a staffing model integrating peer support with clinical care.
Methods.
Twenty-four consumers completed semi-structured interviews with an independent interviewer during the first 6 weeks of their stay at the rehabilitation unit. Most participants had a primary diagnosis of schizophrenia or a related psychotic disorder (87%). A pragmatic approach to grounded theory guided the analysis, facilitating identification of content and themes, and the development of an overarching conceptual map.
Results.
The rehabilitation units were considered to provide a transformational space and a transitional place. The most common reason given for engagement was housing insecurity or homelessness rather than the opportunity for rehabilitation engagement. Differences in expectations did not emerge between consumers entering the clinical and integrated staffing model sites.
Conclusions.
Consumers understand the function of the rehabilitation service they are entering. However, receiving rehabilitation support may not be the key driver of their attendance. This finding has implications for promoting consumer engagement with rehabilitation services. The absence of differences between the integrated and clinical staffing models may reflect the novelty of the rehabilitation context. The study highlights the need for staff to find better ways to increase consumer awareness of the potential relevance of evidence-based rehabilitation support to facilitating their recovery.
With the shift to earlier maturing soybean cultivars, harvest interference data are needed at low weed densities that will not reduce yield, but may affect soybean quality or harvesting efficiency. Field experiments were conducted in 1995 and 1996 to determine the density of five weeds necessary to warrant desiccation treatments. There were no consistent differences in losses of harvestable soybean due to weed density. Common cocklebur increased foreign material and soybean moisture at a greater rate than did hemp sesbania, ivyleaf morningglory, or redroot pigweed, with sicklepod intermediate among these species. Soybean test weight was reduced by 17, 13, and 59 g/L for each plant/meter of row with redroot pigweed, sicklepod, and common cocklebur, respectively, whereas hemp sesbania and ivyleaf morningglory did not affect test weight. However, all species evaluated increased damaged soybean seeds by 8.2 to 11.1% for each plant/meter of row. Combine speed was not affected substantially by the weed densities evaluated.
Field experiments were conducted at three locations in Mississippi in 1995 and 1996 to evaluate labeled and alternative herbicides and herbicide combinations for weed desiccation prior to soybean harvest. Weeds evaluated included pitted morningglory, hemp sesbania, spotted spurge, common cocklebur, and sicklepod. Soybean yield and harvestable soybean losses were not affected by preharvest herbicide treatments, spray volume, or surfactant concentration. Soybean moisture was most consistently reduced by glufosinate compared to the untreated and other herbicides and herbicide combinations evaluated. Most desiccation treatments at Stoneville and Brooksville resulted in foreign material similar to the weed-free check. Glufosinate at 0.84, 1.1, and 1.4 kg ai/ha desiccated all weeds evaluated 90% or more with no differences among rates. The addition of 3.4 or 6.7 kg ai/ha sodium chlorate to 0.28 kg ai/ha paraquat, 1.1 and 2.2 kg ai/ha glyphosate, or 0.28 and 0.56 kg ai/ha oxyfluorfen increased desiccation of most weeds evaluated, with no difference between sodium chlorate rates. In some instances, reducing application volume from 281 to 94 L/ha improved pitted morningglory desiccation when 0.28 g/ha paraquat was applied alone. There were no differences between 0.25 and 0.50% (v/v) surfactant for most parameters evaluated.
To investigate the feasibility of a national audit of epistaxis management led and delivered by a multi-region trainee collaborative using a web-based interface to capture patient data.
Methods:
Six trainee collaboratives across England nominated one site each and worked together to carry out this pilot. An encrypted data capture tool was adapted and installed within the infrastructure of a university secure server. Site-lead feedback was assessed through questionnaires.
Results:
Sixty-three patients with epistaxis were admitted over a two-week period. Site leads reported an average of 5 minutes to complete questionnaires and described the tool as easy to use. Data quality was high, with little missing data. Site-lead feedback showed high satisfaction ratings for the project (mean, 4.83 out of 5).
Conclusion:
This pilot showed that trainee collaboratives can work together to deliver an audit using an encrypted data capture tool cost-effectively, whilst maintaining the highest levels of data quality.
This report describes an ongoing project initiated in late 2012 to investigate the use of chain line pattern (CLiP) matching for the detection of mould mates (sheets made from the same papermaking mould) in the European paper used for printing Rembrandt's etchings. We investigate the application of computer-based image processing tools to mark, measure, and compare the idiosyncratic intervals of chain lines as recorded in beta-radiographs of individual sheets in the hunt for mouldmates. Results indicate that CLiP has strong potential for investigating and matching papers used by Rembrandt and other early modern printmakers. It provides a new method that can identify related objects even in the absence of a watermark.
Keywords: Rembrandt van Rijn, chain line pattern matching, papermaking, watermarks, Medea
Background
The study of Rembrandt's prints has occupied scholars for over two centuries. With several thousand impressions in existence today, the study of his printing papers occupies a prominent place within this scholarship. Rembrandt's prints were predominantly executed on antique laid papers. Until the widespread adoption of the papermaking machine in the early nineteenth century, paper was made by scooping up macerated and suspended paper pulp from a vat using a rectangular mould comprised of a porous screen surrounded by a removable wooden frame. Prior to 1750, the screen was fabricated from fine, densely spaced horizontal rows of laid wires secured by thicker, more widely spaced vertical chain wires. When the mould was plunged into the vat and lifted out, the wires acted as a sieve, filtering out the pulp in thinner and thicker accumulations depending upon how much interference they produced as the water drained through. The crisscrossed pattern of chain and laid lines is thus replicated in the final sheet of paper. Because the paper is thinner in areas corresponding to the wire grid, the laid and chain line pattern can be easily seen when the paper is held up to the light. Two papers will have identical laid and chain line patterns if they have been formed at the same time in the same manner on the same mould – hence they are called mouldmates.
Field research was conducted for 2 yr to evaluate response of corn and rice to simulated drift rates of a commercial premix of imazethapyr plus imazapyr [3:1 (w/w)]. Drift rates of the imazethapyr plus imazapyr premix represented 0.8, 1.6, 3.2, 6.3, and 12.5% of the usage rate of 63 g ai/ha (0.5, 1, 2, 4, and 7.9 g/ha, respectively). The imazethapyr plus imazapyr premix applied to six-leaf corn at 7.9 g/ha reduced height 11% compared with the nontreated control 7 days after treatment (DAT) but did not affect corn height 14 and 28 DAT. Corn yield was equivalent regardless of imazethapyr plus imazapyr rate and ranged from 10,200 to 11,500 kg/ha. At 28 DAT, rice height was reduced 12% when 7.9 g/ha of the imazethapyr plus imazapyr premix was applied early postemergence (EPOST) at two- to three-leaf and 14 and 5% when the imazethapyr plus imazapyr premix at 7.9 and 4 g/ha, respectively, was applied late postemergence (LPOST) at panicle differentiation. Reductions in mature rice height of 11 and 6% were observed when the imazethapyr plus imazapyr premix was applied LPOST at 7.9 and 4 g/ha, respectively, and a 5% reduction was observed for 7.9 g/ha of the imazethapyr plus imazapyr premix applied EPOST. Application of the imazethapyr plus imazapyr premix EPOST at 7.9 g/ha delayed heading in only 1 yr, but heading was delayed both years when applied LPOST. Rice yield was reduced 39 and 16% when the imazethapyr plus imazapyr premix was applied LPOST at 7.9 and 4 g/ha, respectively, compared with a 9% yield reduction for 7.9 g/ha applied EPOST.
A very large amount of valuable work has been done in measuring the forces on models of aeroplane surfaces placed in a wind channel, and the results obtained are of the greatest value to the designer. Doubt has however been thrown on the applicability of the results obtained to calculations referring to the full–size aeroplane in flight, and it is of great importance to obtain definite information regarding the corrections, if any, which should be applied to the wind channel results. The experiments described below were made with the object of comparing the pressure-distribution on an aeroplane wing in flight with the distribution measured on a model of the same wing in a wind channel. The measurements were carried out on an aeroplane constructed by the writer, which for the purpose: of the experiments was flown over the sands at Llanddona, on the east coast of Anglesey. The beach at this place is an ideal one for experiments of this nature, there being a stretch of hard level sand obtainable fully three miles long and over a mile broad.
Among the various experimental data which are required in the discussion of the theory and design of the aeroplane, there are none of greater importance than those relating to surface friction, while at the same time there are none about which greater uncertainty prevails.
Owing to the difficulty of separating skin friction from head resistance, very little can be learnt from observations on actual machines in flight, while on the other hand, if we turn to laboratory experiments on the resistance of planes, we are met with the most bewildering variations in the values obtained for it. Many of the most careful experimenters make out that it is quite inappreciable while others maintain that it is from 1—4 per cent. of the normal pressure, and therefore forms an important part of the drift at small angles of attack.
The Prussian-born Protestant missionary Karl Friedrich August Gützlaff (1803–51) sought to spread Christianity in the Far East. A gifted linguist, he sailed to Siam and worked on a translation of the Bible into Thai. The British missionary Robert Morrison had fired his interest in China, and Gützlaff later focused his evangelising efforts there, learning several dialects and distributing translated literature. The present work, featuring an introductory chapter by fellow missionary William Ellis on Chinese attitudes to foreign influence, was first published in 1834. Gützlaff had left Siam in 1831 in a Chinese junk trading along the coast of China. The next year, as an interpreter aboard an East India Company vessel, he also visited Korea and Okinawa. The third voyage recounted here describes the places and peoples encountered from Canton to Manchuria. Also reissued in this series are Gützlaff's Sketch of Chinese History (1834) and China Opened (1838).
The German actress Minna Planer (1809–66) was Wagner's first wife. Though it lasted until her death, their marriage, never an easy one, was punctuated by long periods of separation, and during its early years Minna was the main breadwinner. William Ashton Ellis (1852–1919) abandoned his medical career to devote himself to his Wagner studies. Best known for his translations of Wagner's prose works, he published in 1909 this collection of letters from the composer, translated from the originals in Baron Hans von Wolzogen's Richard Wagner an Minna Wagner (1908). Concerned predominantly with domestic and business affairs, many of them complaining at Minna's lack of support, the letters offer an intriguing and intimate view of this larger-than-life composer. Spanning 1842–58, Volume 1 covers the couple's period in Dresden, Wagner's hurried departure after the 1849 uprising, and the years in Zurich culminating in the relationship with Mathilde Wesendonck.
The German actress Minna Planer (1809–66) was Wagner's first wife. Though it lasted until her death, their marriage, never an easy one, was punctuated by long periods of separation, and during its early years Minna was the main breadwinner. William Ashton Ellis (1852–1919) abandoned his medical career to devote himself to his Wagner studies. Best known for his translations of Wagner's prose works, he published in 1909 this collection of letters from the composer, translated from the originals in Baron Hans von Wolzogen's Richard Wagner an Minna Wagner (1908). Concerned predominantly with domestic and business affairs, many of them complaining at Minna's lack of support, the letters offer an intriguing and intimate view of this larger-than-life composer. Spanning the period 1858–63, Volume 2 covers their uneasy, brief reconciliation in Paris, Wagner's concerns over Minna's failing health, and her return to Dresden in 1862, which marked their final separation.
This is the first report of styliolines in the Angola Shale Member of the West Falls Formation in western New York. These specimens are of late Frasnian age and are the youngest individuals known from the Appalachian Region. This upward extension of range places the extinction of styliolines in eastern North America more in accord with their time of extinction in Europe. Nowakiids have also been found in the younger Hanover Shale Member, in the upper part of the Java Formation, also of late Frasnian age. These are the youngest known nowakiids from the Appalachians. Within the limits of preservation, the external characters and wall structure of the Angola styliolines are comparable with those of older specimens. The associated rare small annulated nowakiids and homotcenids have a laminated wall structure fundamentally different from that of the styliolines.
There is limited evidence of the prevalence of enteric protozoon infections in developed settings. We estimated the prevalence of enteric protozoa and evaluated the outcome of testing algorithms used in hospital settings in Sydney, Australia. This retrospective study assessed microbiological data from four public clinical laboratories. Pooled data from the four hospitals revealed the most common enteric protozoon detected was Blastocystis spp. in an average of 5·4% of cases, followed by Giardia intestinalis (1·1%) and Dientamoeba fragilis (0·8%). Protozoon detection rates between hospitals were significantly different and could be based on multiple factors. The modified iron haematoxylin staining method, consistently detected higher rates of Blastocystis spp., and G. intestinalis in comparison with microscopy of wet preparations, as well as higher rates of G. intestinalis and Cryptosporidium when compared with enzyme immunoassay. The study concludes that there are multiple factors that contribute to the variability in protozoa detection rates in metropolitan hospitals, including widespread variability in the testing protocols for enteric protozoa, individual and population characteristics. A gold standard approach for diagnosis of enteric protozoa is recommended. Molecular diagnostic methods such as polymerase chain reaction would provide consistency across laboratories and yield more reliable estimates of the actual prevalence of enteric protozoa.
The Critically Endangered Sumatran rhinoceros Dicerorhinus sumatrensis formerly ranged across South-east Asia. Hunting and habitat loss have made it one of the rarest large mammals and the species faces extinction despite decades of conservation efforts. The number of individuals remaining is unknown as a consequence of inadequate methods and lack of funds for the intensive field work required to estimate the population size of this rare and solitary species. However, all information indicates that numbers are low and declining. A few individuals persist in Borneo, and three tiny populations remain on the Indonesian island of Sumatra and show evidence of breeding. Rhino Protection Units are deployed at all known breeding sites but poaching and a presumed low breeding rate remain major threats. Protected areas have been created for the rhinoceros and other in situ conservation efforts have increased but the species has continued to go locally extinct across its range. Conventional captive breeding has also proven difficult; from a total of 45 Sumatran rhinoceros taken from the wild since 1984 there were no captive births until 2001. Since then only two pairs have been actively bred in captivity, resulting in four births, three by the same pair at the Cincinnati Zoo and one at the Sumatran Rhino Sanctuary in Sumatra, with the sex ratio skewed towards males. To avoid extinction it will be necessary to implement intensive management zones, manage the metapopulation as a single unit, and develop advanced reproductive techniques as a matter of urgency. Intensive census efforts are ongoing in Bukit Barisan Selatan but elsewhere similar efforts remain at the planning stage.